Barrett's oesophagus
The esophagus is the muscular tube that carries food and liquids from your mouth to the stomach. You may not be aware of your esophagus until you swallow something too large, too hot, or too cold. You may also notice it when something is wrong. You may feel pain or have trouble swallowing.The most common problem with the esophagus is GERD (gastroesophageal reflux disease). With GERD, a muscle at the end of your esophagus does not close properly. This allows stomach contents to leak back, or reflux, into the esophagus and irritate it. Over time, GERD can cause damage to the esophagus.Other problems include heartburn, cancer, and eosinophilic esophagitis. Doctors may use various tests to make a diagnosis. These include imaging tests, an upper endoscopy, and a biopsy.Treatment depends on the problem. Some problems get better with over-the-counter medicines or changes in diet. Others may need prescription medicines or surgery.NIH: National Institute of Diabetes and Digestive and Kidney Diseases
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Psoriasis is often associated with other comorbidities such as psoriatic arthritis, obesity, inflammatory bowel disease, diabetes, and cardiovascular disease. Psoriasis causes increased medical costs, work limitations, as well as productivity loss. This economic burden, along with reduction in quality of life in patients prompts the need for effective disease management. Widespread disease often requires systemic treatment due to the extent of BSA involvement. Guidelines recommend treatment with biologic agents or nonbiologic agents or phototherapy with ultraviolet B (UVB) or with psoralen plus ultraviolet A (PUVA) therapy. Guidelines suggest that physicians should balance the individual patient characteristics with side-effects when making therapeutic decisions. Please share your thoughts on the same......
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Topical agents are the cornerstone of treatment, either alone, or in combination with phototherapy or systemic treatments for psoriasis. Topical therapy is the treatment of choice in patients with psoriasis affecting < 10% body surface area (BSA) or for psoriasis affecting sensitive areas such as face, flexures, and genitals. They are used intermittently or continuously but more potent agents should be used for a shorter duration to avoid the side-effects. Please share your experiences with topical therapy for patients with psoriasis......
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she is suffering from this skin disease for last 4 years and they haven't given any treatment yet, she applied luliconazole for few weeks but nothing's ok with that. please suggest and Rx Dx...
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